Has anyone else had spinal fusion hardware (titanium screws) break without obvious cause?
I had a burst fracture in L2 after a ground fall, and am fused from L1 - L3 with two rods and five screws. I just had my two-year post-op x-ray and was alarmed to find that two of the screws have broken. None of the hardware is loose, though, and I'm not in pain, so my doctor says there isn't actually a problem to fix. She says my bones are stable and I'm fine to keep climbing, but she doesn't know why the screws broke and I don't feel like I've experienced any impacts strong enough to break titanium, so we are both perplexed.
My two hypotheses: A. My harness puts pressure directly on the fused area of my back, so maybe even small lead falls (the biggest lead fall I've ever taken was with the bolt at my feet) are way higher impact than I realize? B. I was in a fender bender 11 months ago, but I don't -think- I even got whiplash from that, so could it actually have been a strong enough impact to break my screws? And then I've been climbing / bending / lifting / twisting with broken screws in my bones for an unknown number of days / weeks / months without knowing it.
Questions:
1. Has anyone who has had lumbar fusion switched to climbing with a full body harness to aviod putting direct pressure on their lumbar spine? Does this seem necessary / worth it?
2. How am I supposed to avoid breaking more screws if I don't know why two of them broke in the first place?? Again, my bones are fully stable and my doctor has said I'm "medically interesting" but "fine to keep climbing".
3. Is there something I'm not thinking of? I've heard of people having their hardware break, but never in a "yeah, you're actually fine, but we don't know why this happened" way.